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Asuhan Keperawatan Pada Pasien Diabetes Melitus Dengan Gangguan Integritas Jaringan Di Ruang Mawar RSUD Dr. Harjono Ponorogo Hartanto, Agung Eko; Aini, Linda Nur
Tirtayasa Medical Journal Vol 3, No 1 (2023): November
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v3i1.24953

Diabetes melitus adalah penyakit kronis yang ditandai dengan tigginya kadar gula dalam darah akibat adanya defisiensi insulin atau resistensi insulin yang dapat menyebabkan komplikasi. Makorangiopati dan mikroangiopati merupakan salah satu komplikasi terjadi gangguan sensori pada organ tubuh terutama pada ekstremitas (neuropati) sehingga dapat menimbulkan gangguan integritas kulit/jaringan. Penelitian ini bertujuan untuk mengidentifikasi asuhan keperawatan pada pasien diabates melitus dengan gangguan integritas jaringan di Ruang Mawar RSUD Dr. Harjono Ponorogo. Desain penelitian yang digunakan dalam studi kasus ini adalah penelitian deskriptif dengan menggunakan kuesioner modifikasi Bates Jansen Wound Assesment Tool (BJWAT) dan pemeriksaan ABI. Subjek yang digunakan adalah pasien dengan diagnosa medis diabetes melitus berusia ≥45 tahun dengan masalah keperawatan gangguan integritas kulit/Jaringan. Pada penelitian ini dilakukan tindakan keperawatan perawatan luka selama 7 hari dengan hasil evaluasi keperawatan masalah belum teratasi karena dipengaruhi oleh beberapa faktor diantaranya proses penyembuhan luka, usia, nutrisi, ketidakstabilan kadar gula darah, sirkulasi, komplikasi penyakit, tindakan debridement.

Afirmasi positif & Relaksasi Autogenik dalam mengatasi Ketidakberdayaan pasien DM tipe II Hartanto, Agung Eko; Elvareta, Nabella Syifa
Tirtayasa Medical Journal Vol 3, No 2 (2024): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v3i2.25500

Diabetes Mellitus (DM) is a chronic disease that cannot be cured until now and requires sufferers to undergo long-term treatment. Prolonged physical problems experienced by people with type 2 diabetes mellitus and loss of self-control due to the absence of significant changes to heal make individuals feel helpless. Powerlessness if not overcome will lead to a psychosocial crisis that affects more severe psychiatric problems. This study aims to carry out nursing care for diabetes mellitus patients with helplessness at the South Ponorogo Health Center. This research is descriptive in the form of a case study. Powerlessness can be measured using a powerlessness questionnaire. The subject used was one respondent at the age of 54 years, suffering from type 2 diabetes mellitus since 6 years ago, moderate helplessness score, and cooperative. The results of this study showed that the main intervention was positive affirmation and autogenic relaxation therapy was performed on the first day, a score of 8 (moderate powerlessness) was obtained, while on the fourth day a score (low powerlessness) was obtained. Positive affirmation intervention and autogenic relaxation therapy is a combination that can help patients with diabetes mellitus reduce stress and improve the patient's mental well-being. The synergy of the two implementations that are carried out at each meeting, negative thoughts are changed through positive affirmations and autogenic relaxation therapy is effective in helping patients overcome the anxiety experienced by patients.

Asuhan Keperawatan pada Pasien Stroke Riwayat Penyakit Diabetes Mellitus dengan Gangguan Mobilitas Fisik Ernaningrum, Diah Ayu; Hartanto, Agung Eko; Wiratmoko, Heru
Tirtayasa Medical Journal Vol 4, No 1 (2024): November
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i1.28588

Stroke is a neurological deficit that disrupts the blood supply to the brain can occur due to several pathological conditions including atherosclerosis. Diabetes mellitus is one of the causes of stroke where high blood glucose levels can accelerate atherosclerosis. One of the signs of stroke symptoms is a decrease in muscle strength which can lead to impaired physical mobility. One of the efforts to overcome is to train ROM. The purpose of the study was to determine how nursing care for stroke patients with a history of diabetes mellitus with impaired physical mobility.az The case study design in this study uses qualitative descriptive research with a case study approach. After carrying out nursing care for 7 days, the results of research on physical mobility disorders in Mr. P were obtained. P has improved as evidenced by using the MMT instrument on muscle strength, namely from scale 2 to scale 4 (mild physical mobility impairment). For the range of motion has increased, namely a scale of 25 to 46, which is from a range of motion enough to good. ROM training is very important because it affects muscle contraction and relaxation so that it can facilitate blood flow so as to increase muscle strength. Suggestions for stroke patients with a history of diabetes mellitus are expected to routinely do ROM exercises and do health checks, namely blood pressure and glucose levels.

Asuhan Keperawatan Dengan Masalah Ketidakpatuhan Minum Obat Karena Defisit Pengetahuan Pada Klien Diabetes Melitus Andani, Laila Fitri; Anjaswarni, Tri; Hartanto, Agung Eko
Tirtayasa Medical Journal Vol 4, No 1 (2024): November
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i1.28741

Ketidakpatuhan minum obat pada klien diabetes melitus adalah kondisi dimana klien tidak menjalankan program pengobatan secara rutin hal ini berdampak pada peningkatan kadar gula darah. Peningkatan kadar gula darah secara ekstrem dapat menyebabkan komplikasi yang berbahaya antara lain terjadi hiperglikemi, koma diabetikum bahkan terjadi kematian, hingga manajemen pengobatan menjadi hal penting. Tujuan studi kasus ini melakukan asuhan pada klien yang mengalami ketidakpatuhan minum obat akibat defisit pengetahuan. Metode penelitian Karya Tulis Ilmiah ini menggunakan metode deskriptif dengan menggunakan pendekatan studi kasus. Hasil didapatkan dari pengkajian yaitu klien tidak mengetahui pengetahuan tentang penyakitnya dan rutin minum obat karena merasa bosan dan sering lupa. Setelah dilakukan asuhan keperawatan selama 6 hari terdapat peningkatan pengetahuan dengan angka 50 kategori pengetahuan kurang menjadi 70 kategori pengetahuan sedang, sedangkan tingkat ketidakpatuhan mengalami kenaikan dengan angka 7 kategori ketidakpatuhan rendah menjadi 1 kategori ketidakpatuhan sedang. Hal tersebut dipengaruhi oleh adanya edukasi tentang pendidikan kesehatan setiap kali pertemuan secara bertahap dengan materi terpisah yang dapat mempengaruhi kebiasaan klien.

PEMBERDAYAAN KELUARGA DALAM PENERAPAN HYPNOSIS LIMA JARI SEBAGAI UPAYA MENURUNKAN TINGKAT STRESS PASIEN DIABETES MELITUS HARTANTO, AGUNG EKO; PURWANINGSIH, YUSTINA; HENDRAWATI, GANDES WIDYA
COMMUNITY : Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 2 (2024)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/community.v4i2.3587

Diabetes mellitus (DM) is a chronic disease requiring long-term care, often affecting the quality of life of patients and their families. This study aims to empower families of DM patients through education and five-finger hypnosis relaxation training to reduce the stress associated with caregiving. This community service program was conducted in Sukosari Village, Ponorogo, involving 12 families of DM patients selected through purposive sampling. The program utilized methods such as health education, simulation, and hands-on practice, carried out in three phases: preparation, implementation, and evaluation. The results showed an increase in participants' knowledge from 66% (low category) to 83% (good category) after the health education sessions. Furthermore, the five-finger hypnosis relaxation technique significantly reduced family stress levels, from 83% (moderate stress) to 75% (mild stress). As a relaxation technique based on positive memories, the five-finger hypnosis method proved effective in reducing physical and emotional tension, supporting psychosocial comfort, and enhancing families' ability to handle the challenges of caring for DM patients. This program highlights the importance of family empowerment in supporting DM patient care, both physically and emotionally. These findings are expected to serve as a foundation for developing similar interventions that focus on increasing family capacity and reducing stress in managing chronic illness care. Family involvement in supporting DM patients plays a significant role in the physical and mental care of the patients. Continuous support from healthcare providers and the community is essential for program sustainability. ABSTRAKDiabetes melitus (DM) merupakan penyakit kronis yang memerlukan perawatan jangka panjang, sering kali memengaruhi kualitas hidup pasien dan keluarga. Penelitian ini bertujuan untuk memberdayakan keluarga pasien DM melalui edukasi dan latihan relaksasi hipnosis lima jari guna mengurangi stres akibat perawatan pasien. Program pengabdian masyarakat ini dilaksanakan di Desa Sukosari, Kec. Kauman Kab. Ponorogo, dengan melibatkan 12 keluarga pasien DM yang dipilih secara purposive sampling. Metode kegiatan mencakup edukasi kesehatan, simulasi, dan praktik langsung, dilakukan dalam tiga tahap: persiapan, pelaksanaan, dan evaluasi. Hasil menunjukkan peningkatan pengetahuan peserta dari 66% (kategori kurang) menjadi 83% (kategori baik) setelah penyuluhan. Selain itu, latihan relaksasi hipnosis lima jari secara signifikan menurunkan tingkat stres keluarga, dari 83% (stres sedang) menjadi 75% (stres ringan). Hipnosis lima jari, sebagai teknik relaksasi berbasis ingatan positif, terbukti efektif mengurangi ketegangan fisik dan emosional, mendukung kenyamanan psikospiritual, serta meningkatkan kemampuan keluarga dalam menghadapi tantangan merawat pasien DM. Program ini menunjukkan pentingnya pemberdayaan keluarga dalam mendukung perawatan pasien DM, baik secara fisik maupun emosional. Hasil ini diharapkan menjadi dasar untuk pengembangan intervensi serupa yang berfokus pada peningkatan kapasitas keluarga dan pengurangan stres dalam merawat pasien dengan penyakit kronis. Keterlibatan keluarga dalam mendukung pasien DM berperan signifikan dalam perawatan fisik dan mental pasien. Dukungan berkelanjutan dari tenaga kesehatan dan komunitas diperlukan untuk keberlanjutan program.

Asuhan Keperawatan pada Pasien Stroke Riwayat Penyakit Diabetes Mellitus dengan Gangguan Mobilitas Fisik Ernaningrum, Diah Ayu; Hartanto, Agung Eko; Wiratmoko, Heru
Tirtayasa Medical Journal Vol 4, No 1 (2024): November
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i1.28588

Stroke is a neurological deficit that disrupts the blood supply to the brain can occur due to several pathological conditions including atherosclerosis. Diabetes mellitus is one of the causes of stroke where high blood glucose levels can accelerate atherosclerosis. One of the signs of stroke symptoms is a decrease in muscle strength which can lead to impaired physical mobility. One of the efforts to overcome is to train ROM. The purpose of the study was to determine how nursing care for stroke patients with a history of diabetes mellitus with impaired physical mobility.az The case study design in this study uses qualitative descriptive research with a case study approach. After carrying out nursing care for 7 days, the results of research on physical mobility disorders in Mr. P were obtained. P has improved as evidenced by using the MMT instrument on muscle strength, namely from scale 2 to scale 4 (mild physical mobility impairment). For the range of motion has increased, namely a scale of 25 to 46, which is from a range of motion enough to good. ROM training is very important because it affects muscle contraction and relaxation so that it can facilitate blood flow so as to increase muscle strength. Suggestions for stroke patients with a history of diabetes mellitus are expected to routinely do ROM exercises and do health checks, namely blood pressure and glucose levels.

Asuhan Keperawatan Dengan Masalah Ketidakpatuhan Minum Obat Karena Defisit Pengetahuan Pada Klien Diabetes Melitus Andani, Laila Fitri; Anjaswarni, Tri; Hartanto, Agung Eko
Tirtayasa Medical Journal Vol 4, No 1 (2024): November
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i1.28741

Ketidakpatuhan minum obat pada klien diabetes melitus adalah kondisi dimana klien tidak menjalankan program pengobatan secara rutin hal ini berdampak pada peningkatan kadar gula darah. Peningkatan kadar gula darah secara ekstrem dapat menyebabkan komplikasi yang berbahaya antara lain terjadi hiperglikemi, koma diabetikum bahkan terjadi kematian, hingga manajemen pengobatan menjadi hal penting. Tujuan studi kasus ini melakukan asuhan pada klien yang mengalami ketidakpatuhan minum obat akibat defisit pengetahuan. Metode penelitian Karya Tulis Ilmiah ini menggunakan metode deskriptif dengan menggunakan pendekatan studi kasus. Hasil didapatkan dari pengkajian yaitu klien tidak mengetahui pengetahuan tentang penyakitnya dan rutin minum obat karena merasa bosan dan sering lupa. Setelah dilakukan asuhan keperawatan selama 6 hari terdapat peningkatan pengetahuan dengan angka 50 kategori pengetahuan kurang menjadi 70 kategori pengetahuan sedang, sedangkan tingkat ketidakpatuhan mengalami kenaikan dengan angka 7 kategori ketidakpatuhan rendah menjadi 1 kategori ketidakpatuhan sedang. Hal tersebut dipengaruhi oleh adanya edukasi tentang pendidikan kesehatan setiap kali pertemuan secara bertahap dengan materi terpisah yang dapat mempengaruhi kebiasaan klien.

PENGARUH INTERVENSI RELAKSASI HIPNOSIS MODIFIKASI LIMA JARI TERHADAP TINGKAT KEPATUHAN MINUM OBAT PADA PASIEN DIABETES MELLITUS Purwaningsih, Yustina; Hartanto, Agung Eko; Hendrawati, Gandes Widya
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.30629

Diabetes mellitus is a chronic disease that requires treatment over a long period of time. Compliance with taking medication is key in lowering blood sugar levels. The problem of non-compliance with taking medication is a problem that often arises in diabetes patients and causes complications. This study aims to determine the effect of Five Finger Modification Hypnosis Relaxation on the level of compliance with taking medication in DM patients. The research method uses true experimental research with pre and post test designs carried out on 1 control group and 1 intervention group. The population is diabetes mellitus patients in Sukosari village, Kec. Kauman District Ponorogo numbered 50 people, and the sample used was 35 people. Five finger modified hypnosis relaxation intervention was carried out in the intervention group and deep breathing relaxation and health education in the control group. analyzed using the Wilcoxon formula, and the P Volume results were 0.000 < 0.05, meaning that there was an influence of the five finger modified hypnosis relaxation intervention on the level of adherence to taking medication for diabetes mellitus in Sukosari Village, Kec. Kauman, Kab. Ponorogo. The conclusion is that deep breathing modification hypnotic relaxation can increase patient compliance in taking medication.

PENGARUH INTERVENSI RELAKSASI HIPNOSIS MODIFIKASI LIMA JARI TERHADAP TINGKAT KEPATUHAN MINUM OBAT PADA PASIEN DIABETES MELLITUS Purwaningsih, Yustina; Hartanto, Agung Eko; Hendrawati, Gandes Widya
Tirtayasa Medical Journal Vol 4, No 2 (2025): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v4i2.30629

Diabetes mellitus is a chronic disease that requires treatment over a long period of time. Compliance with taking medication is key in lowering blood sugar levels. The problem of non-compliance with taking medication is a problem that often arises in diabetes patients and causes complications. This study aims to determine the effect of Five Finger Modification Hypnosis Relaxation on the level of compliance with taking medication in DM patients. The research method uses true experimental research with pre and post test designs carried out on 1 control group and 1 intervention group. The population is diabetes mellitus patients in Sukosari village, Kec. Kauman District Ponorogo numbered 50 people, and the sample used was 35 people. Five finger modified hypnosis relaxation intervention was carried out in the intervention group and deep breathing relaxation and health education in the control group. analyzed using the Wilcoxon formula, and the P Volume results were 0.000 < 0.05, meaning that there was an influence of the five finger modified hypnosis relaxation intervention on the level of adherence to taking medication for diabetes mellitus in Sukosari Village, Kec. Kauman, Kab. Ponorogo. The conclusion is that deep breathing modification hypnotic relaxation can increase patient compliance in taking medication.

DIABETES MELLITUS GYMNASTICS IMPACTS RESILIENCE AND STRESS LEVELS: FACT OR MYTH? Hartanto, Agung Eko; Hendrawati, Gandes Widya; Purwaningsih, Yustina
Indonesian Journal of Health Science Vol 8 No 2 (2024): September
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v8i2.7938

Diabetes Mellitus type II is a condition of increased blood glucose caused by disturbances in insulin resistance and insulin secretion that causes metabolic disorders of the body, is a silent killer disease. Living with DM causes stress in a person because most of the patient's time is spent on treatment. It is estimated that around 1.6 million deaths are caused by diabetes globally. Decreased quality of life often occurs in patients with chronic diseases, one of which is DM which has an impact on stress and resilience. The purpose of this study was to determine the effect of Diabetes Exercises on the level of stress and resilience of DM sufferers. This study used a Quasy Experimental design (pre- and post-test), involving 20 intervention groups and 20 control groups taken with purposive sampling techniques. The paired sample t-test results showed a p-value of 0.448 which means there was no difference before and after DM Exercise to stress and resilience. DM Exercise indirectly does not affect the resilience and stress of DM sufferers, it contributes to reducing the stress of DM patients. In future studies, it is expected that Diabetes Resilience Training and Mindfulness actions in DM patients to improve their quality of life

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